Organization
THE COMMUNITY, LLC
Active
Other names
The Community
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDITH LEE BLOOM LMFT, MSW (PRESIDENT)
(954) 533-9818
Entity
Organization
Contact information
Practice address
16 NE 4TH ST, SUITE 130, FORT LAUDERDALE, FL 33301-3262
(954) 533-9818
(954) 533-9819
Mailing address
16 NE 4TH ST, SUITE 130, FORT LAUDERDALE, FL 33301-3262
(954) 533-9818
(954) 533-9819
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT 2236
FL
Other
Enumeration date
03/23/2009
Last updated
03/23/2009
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